Attorney Relations

One of my favorite things to do in Austin, Texas, other than eating at La Condesa, is walking the trail around Lady Bird Lake. It’s peaceful and relaxing being by the water. You get to see aquatic wildlife and, if you’re fast enough, sometimes you can catch a glimpse of a turtle or two sunning themselves on the bank. On our last trip, while walking the trail, Tom and I had a pretty good laugh over a warning sign we ran into on the trail, obviously put in place by a well-meaning worker from the City of Austin’s Public Works Department. It reads: SIDEWALK CLOSED, USE OTHER SIDE.

While the sign, does indeed seem to point out the obvious, it made me think about legal nurse consultants writing reports for attorney-clients. Whether you’re writing a brief or comprehensive report, you need to point out the obvious, salient points from the medical record for that attorney-client. This includes deviations from and adherences to the standard of care. As a Certified Legal Nurse Consultant, you’re the expert on the medical record and you are the one who must point out the obvious. The attorney is the expert on the law. While you may work with an attorney or two who knows enough about medicine to open a practice as a doctor (unlicensed), the majority of attorneys do not. Those attorney-clients depend upon you to tell them what they need to know about the treatment, injury and actions of the parties. This includes pointing out the obvious.

As a nurse, you have a tremendous amount of knowledge about nursing, medicine and just about every aspect of healthcare. This brings its own dangers. Sometimes incidents, deviations or lapses in care that are obvious to you in their effect on the case, won’t be obvious to your attorney-client. Certainly you need to write your legal nurse consulting reports to the skill level of each particular attorney-client, but, at the same time, you don’t want to overestimate their ability to see and understand the obvious. You can’t assume that the attorney will recognize the importance of a critical deviation if you give it the same weight as every other deviation you address in your report. What’s obviously important to you, may not be obvious or important to the attorney-client. If you don’t believe me, think of some of the obviously important things you point out to your spouse (“Honey, remember what happened last time you tried to rewire a lamp? I think you should unplug it first. Or Honey, don’t let the baby get too close to that alligator.”).

If something is obvious to you and importantly obvious to the case, point it out. Tell the attorney-client why it’s important. Don’t assume they’ll pick up on it themselves. Do this religiously and you just might keep them from getting soaked in court or in a lake.

Success Is Inside!

Screening medical-related cases is one of the most important legal nurse consulting services you will provide as a Certified Legal Nurse Consultant. Not only is it one of my favorite CLNC^® services but it is the first CLNC^® service you usually provide for new attorney-clients. Do it well and the attorneys keep coming back for more. Here are 16 screening strategies to keep your attorney-clients coming.

Stay Focused on the Essentials

1. Give the attorney an objective, candid and honest opinion without regard for what you think the attorney wants to hear. Put aside interests in personal gain (e.g., more billable hours) and focus only on what is ultimately best for the attorney, the client and the case.
2. Discuss the issues and theme of the case with the attorney-client and ascertain the date of the incident (when known) to help you focus quickly on the important events. If the case has been filed, request a copy of the complaint or petition. You will screen many cases in which the attorney knows little about the facts and has formed no opinion. If the attorney does have an opinion and you believe he is focusing on the wrong issues or your opinion is different, be sure to communicate your reasoning right away.
3. If you do not have time to do the screening as soon as you receive the case, at least read the cover letter and scan the medical records. This helps you to establish deadlines, determine the basic issues of the case and assure you have all the necessary records. If relevant records are missing, inform your attorney-client immediately.
4. Scan all relevant medical records and, where appropriate, note important observations and opinions. Avoid excessive writing at the screening stage, especially if you haven’t yet identified the essential issues and themes of the case. Your goal at the screening stage is to be efficient, and until you’ve reviewed all relevant records and identified key issues, it is very easy to go down unnecessary rabbit trails.
5. Use the screening form to track all possible defendants, types of experts needed, additional documents needed and recommended research. When you give your screening opinion to the attorney, you can incorporate some of these into recommendations for the next indicated steps.
6. Screening a case is similar to reading a mystery novel. You may even be surprised by the outcome because the focus may shift from something obvious, like a patient fall, to a less obvious issue, such as medication administration or safety policies and procedures. As new and more relevant issues arise, determine their significance and how they impact the essence of the case.
7. Do not overlook the obvious by overanalyzing the records. Likewise do not assume that the issues will automatically jump out at you. If you become overwhelmed by the task at hand or the volume of medical records, walk away for a while, or a day or two, then come back fresh and start again.
8. Do not assume the case has no merit simply because a physician reviewed the records and found no merit. Physicians tend to limit their reviews to doctors’ records and in so doing, they often miss vital information. For example, many MD experts do not review the nursing records and often it’s the nursing notes that shed the most light on what really happened to the patient. Always review the records completely and look for discrepancies in documentation by different providers.
9. If you were hired by the plaintiff attorney, look at the case from the defendant’s viewpoint. (What are the defenses or rationales in this case?) If you were hired by the defense attorney, look at the case from the plaintiff’s viewpoint. (What went wrong, if anything? Could anything have been done differently? Were any standards of care or practice guidelines breached?)

Efficiency Saves You Time and Saves Your Client Money

10. Don’t organize the medical records before you screen and you will save valuable time in the initial review process. If organizing the records is necessary before screening, do not organize them for comprehensive review and analysis, but organize only with the objective of making screening easier.
11. Do not do a formal report during the screening stage – just complete the screening form to facilitate communicating your opinion clearly and concisely. More comprehensive reports are only indicated once you have communicated your screening opinion and both you and the attorney agree that a comprehensive review and analysis of the medical records is indicated.
12. Access relevant healthcare references as needed while you are reviewing but don’t overdo it at this stage. Unless you need some piece of information before you can move on, make a list of topics to search on the Internet and do all your searching at once. This will keep you focused as you read through the record. Narrow your searches to match the factors in your particular case (e.g., octogenarian, female, femur fracture, mortality). Be sure to research any articles and publications authored by all the relevant players in the case.
13. Consider subcontracting the screening if the issues are outside your area of expertise. Make the decision to subcontract quickly, then act on it. Don’t wait until you need a CLNC^® subcontractor to try to find one. Develop a pool of CLNC^® subcontractors who are ready to respond to your needs. All successful CLNC^® consultants know what they don’t know and wisely tap the expertise of their peers.
14. Use a magnifying glass (buy the best one you can afford) so you can read those little squiggles and impress the attorney with your knowledge of hieroglyphics. You may determine the outcome of the case by being able to decipher something illegible to the average eye.
15. Keep a calendar of the year in question close by. Look for weekends and holidays when short staffing is common.
16. Pay particular attention when operative notes, admission history and physicals, discharge summaries and autopsy reports are dictated and transcribed. If an unusually long period of time elapsed between the event and the transcription, note that for future consideration.

Use these 16 strategies to make screening medical-related cases one of your most popular and satisfying CLNC^® services. Keep your attorney-clients coming back for more.

Success Is Inside!

When you communicate to attorneys, whether by speaking or writing, you can choose the response you want. That’s not a typo – I don’t mean your response, I mean the response from the attorney with whom you’re communicating. You can guide the response you’ll get by the words you choose.

For example, if you want to instantly get the attorney’s full attention, use signal words such as, “here’s how to,” “the opposing attorney will probably argue” or “this will almost certainly be an issue in the case.” Phrases like these alert the attorney that important information is about to follow.

Because your goal is to maintain an associative relationship with your attorney-clients, you will also want to use collegial phrases. For example saying, “let me share something I learned” is more collegial than “let me tell you about this.” Hearing these words, the attorney expects to benefit from, and possibly be enriched by what you are about to say, versus feeling they’re about to receive a lecture.

When explaining a medically complex situation, preface with, “this is how I would explain it to a jury” or “if I were explaining this to a jury, I would tell them….” This allows you to get down to the attorney’s level without insulting the attorney’s intelligence.

In addition to “sharing,” you can also use words that stimulate thought, inspire creativity and transform passivity into action. Think about famous persuaders such as Abraham Lincoln, Winston Churchill, John F. Kennedy and Martin Luther King. How did these orators persuade us to their way of thinking?

First of all, great persuaders sprinkle their speech liberally with “fat” words – freedom, love, success, judgment, loyalty, privilege, honor, generosity and together. Try putting any of those words in your CLNC^® tote bag. You can’t see them or touch them, but they sure feel good when you hear them. “Fat” words are empty of content but full of meaning. Take the word pride. You can’t hold pride in your hands. You can’t see it, hear it or taste it, yet it has exquisite meaning. Tell someone “I’m proud of you” and notice their immediate response. Think about these phrases:

“I value your judgment.”

“It’s a privilege to be here.”

“Working together we can…”

When Lincoln said, “Truth is generally the best vindication against slander,” he used three fat words in a total of eight. Look for opportunities to use fat words to inspire or persuade friends, family and associates, then turn your efforts to your attorney-prospects and clients. Notice the difference between “thanks for your time” and “I’m honored you took the time.” Even though both phrases work; they impact differently.

Great persuaders also use presuppositions such as fortunately, unfortunately and luckily. Such words, at the start of a statement, presuppose the next part of the statement to be factual. “Fortunately, you have the stronger position in this case” “Unfortunately, this fact hurts the case.” Another form of presupposition includes such words as odd, aware, know and realize. They presuppose a situation while at the same time embedding a suggestion.

“Are you aware that the medical expert missed an important issue?”

When talking with a prospective attorney-client always say “when” instead of “if,” “When I take a case for you I’ll be sure to…” or “When we’re working together….” Be positive and assume they’re already in a relationship with you and your legal nurse consulting business.

Another powerful use of words is the use of “linking words,” such as and, but, while and even. Linking words suggest cause and effect. Great persuaders use linking words to link verifiable experience with suggestion, making their ideas more believable, more readily accepted.

Most of us use linking words in a negative context. The two most commonly used linking words are and and but. By merely changing your unconscious use of those two words to a more conscious application, you’ll gain persuasion power. When you tell a subcontractor, “I love your work, but I don’t like how you go into too much detail,” the negative message is what is retained. “I don’t like how you go into too much detail” is what comes through loud and clear. “I love your work” goes unnoticed. It gets cancelled by the linking word but. When you change your language to use the linking word and instead of but, you send a different message – one more appropriate, “I love your work and I prefer that next time you avoid so much detail.” Your communication is less damaging and it still sends a constructive message.

Even more effective is linking two verifiable bits of information to a suggestion. This powerful technique takes more thought but is very effective. Here’s an example – “Fuji apples are red” – that’s verifiable, you can see it. “They crunch when you bite them” that’s verifiable too – you can hear them crunch. “And they taste wonderful.” In sales terms this is called a “yes set.” The first two yeses invite the third. Here’s another example – “It’s a beautiful sunny day outside” – verifiable, “that’s a great photo of your family” – verifiable “and as a Certified Legal Nurse Consultant I can save you time and money on your medical-related cases.” Try this technique with an attorney-prospect and see how many more clients you get.

These word power techniques can help you communicate more effectively for your Certified Legal Nurse Consultant business. Now that you’re aware of how persuasive you can be by incorporating fat words, presuppositions and selective linking words into your vocabulary, you’ll want to put them into action for your CLNC^® business. These word power techniques do require practice, so you’ll need to think about what you want to say in advance so that you cannot only practice, but also think up the most persuasive way of saying what you want well before you sit down to talk with an attorney-prospect. It also helps to evaluate an interview afterward and think of ways you would handle it differently next time. Practice using these techniques in your introductions and elevator speeches. You can even incorporate them into your introductory letters and promotional copy.

Practice word power today to reap improved results for your CLNC^® business.

Success Is Inside!

A study published in Speech Management shows that when meeting someone for the first time, 62% of a person’s effectiveness can be attributed to voice and delivery and only 38% to content. In persuasive speeches, such as a sales pitch, delivery accounts for a remarkable 76% of the presentation’s effectiveness, while only 24% is due to content.

Delivery is the way you talk – your speech mannerisms, the sound of your voice and even how you change your posture as you speak. What you say is important, but the way you say it affects listeners as much as three times more. Your voice is a vital communication tool for your legal nurse consulting business. Effective communication is essential to interviewing successfully with attorney-prospects and for assuring your attorney-clients are fully present when you communicate your opinions on a medical-related case.

As a Certified Legal Nurse Consultant preparing for interviews with attorney-prospects and presentations to attorney-clients, you should analyze your voice to discover where it needs improvement. Do you whisper or mumble? Do people constantly ask you to repeat yourself? Do you find yourself using your parent or cell-phone voice in normal conversation? Do you sound interested or bored? Do you race like a runaway train or buzz along in one endless sentence after another, providing no opportunity for the attorney to speak? Do you needlessly punctuate your speech with ahs, ems, hmms, sighs, “like,” “I mean,” “you know” or other fillers? Or worse, do you always sound like you’re lecturing instead of engaging?

Most of us are not aware of how we sound to others. If we were, we might talk a lot less. I’ve appeared on radio, television and DVDs enough to know all too well how I sound. This process has taught me that the best way to learn your own verbal “ticks” is to record a conversation and then listen to it. Use your digital camera, a video recorder like the “Flip” or, if you don’t have video available, use a simple voice recorder. Try and forget the camera/recorder is on, relax, be yourself and just speak. You can do this on the telephone, in a mock interview with a friend or spouse or simply in a casual conversation.

Now assess whether you sound like one of these:

• The Dying Swan fades out at the ends of sentences – losing all sense of command. Sometimes the dying swan doesn’t even close a sentence and just tapers off in mid-thought. Instead, punch those final words for closure. You’ve spent your nursing career learning how to draw conclusions – do it now in your conversation.
• The Flatliner speaks in a monotonous, boring rumble. Open your throat and your mouth. Imagine placing your voice forward, varying the pitch – from occasional high notes to more frequent low notes. Vary the volume too. When appropriate to what you’re saying, raise your volume. Occasionally, if you’re imparting information that can be done with a conspiratorial smile, use a brief stage whisper – your intended audience will lean forward to listen. That’s when you know you have them.
• The Valley Girl pitches up at the end of sentences, as if questioning. “After the meeting, we went to lunch?” “We ate the best Mexican food?” My legal nurse consulting fee is $150.00 per hour?” An upward inflection indicates hesitancy or a question. Most statements should be made with a downward inflection at the end to suggest certainty and confidence. At the end of a sentence, lower your pitch while still sounding confident.
• The Mumbler sounds like “We’re goan to see-um layer.” This usually results from lazy lips and running words together. Like stage actors, you must practice “biting” the words out. Form your vowels carefully. Own those consonants. Speak with the authority of a Certified Legal Nurse Consultant and slow down if you have to.
• The Whisperer sounds like the shyest person on the planet, but being shy is not an excuse. Having a “soft” voice is not an excuse. Open your mouth, inhale deep into your abdomen and speak up. Pretending you’re on your cell phone in a noisy room is a great way to overcome speaking too softly.
• The Artful Dodger leans back when she’s challenged on a point or unsure of her position. She leans forward when confident but fidgets when verbally cornered. Practice sitting still with a slight forward lean.
• The Conjurer waives her hands in the air while speaking like she’s stirring up the spirits. Keep your hands in your lap unless it’s really, really important to wave them around. Also, keep them away from your face and don’t hide behind them (the attorney can still see you).

Recording yourself makes all the difference in the world. Using a video recorder will let you hear what you really sound and look like when you speak. If you consider the time you’ve spent rehearsing your script for an attorney-prospect interview, you need to spend at least as much time, if not more, energizing the instrument that will deliver those important words – your voice. Chances are you concentrated more on content than delivery and it’s delivery that will prove determinative for your legal nurse consulting business.

Read those percentages at the top of this blog again. Now, focus your attention on your verbal delivery. Record your networking introductions and your answers to common attorney interview questions. Listen to the recordings and honestly assess what you can improve. Re-record it until you sound the way you want to sound – a highly confident, skilled and valuable Certified Legal Nurse Consultant with your nursing experience and education backing you up. You have the confidence – you just need to be confident about it.

Take care of your voice as much as you care for your laptop and iPhone^®. With only a little practice this important marketing tool will gain you instant credibility, visibility and profit while you achieve your CLNC^® goals. Ignore it and you might never realize how many attorneys you’ve lost through poor communication. Even one is too many, so start tuning up your voice today.

Success Is Inside!

Marketing your CLNC^® business successfully to attorney-prospects and attorney-clients requires that you provide a safety net and build trust. Here are some strategies for achieving both:

1. Make a professional first impression. In doing so, you have begun to construct a safety net for the attorney-prospect, ensuring the attorney that he is making the right decision in hiring you for his medical-related cases.

2. Communicate. Listen carefully to the attorney-client’s needs and demonstrate your understanding of those needs as you proceed through the meeting. Ask questions to clarify specific points. Confirm the attorney-client’s expectations regarding the CLNC^® services you will provide and the schedule for its completion.

Stay in touch. Provide an easy way for the attorney to reach you and notify you of any changes in needs or the case. When you deliver your work product, make it clear that you are available to collaborate on any necessary additions or amendments.

3. Guarantee. This step may seem risky, but think about how much more secure you feel about purchasing when you know you can return a product that fails to meet your expectations. For example, if your report failed to meet your attorney-client’s expectations, wouldn’t you be eager to correct any problems? Then why not offer that guarantee up front, thus satisfying your client’s psychological need for security?

Guaranteeing satisfaction does not mean you would compromise the integrity of your opinion or work product by adding something you know is incorrect or misleading or by making inappropriate changes. Nor does it mean you guarantee your work product will win their case. It means you will make any corrections or additions needed to the research, wording or format to guarantee the client gets value for the dollars invested. You aren’t offering to revise your work product endlessly either. State a specific time period, say two weeks from the date of delivery, during which the guarantee is in effect.

4. Start Small. Before you get to those bigger projects and cases, you may have to build trust step-by-step. Customers generally are more comfortable starting a new relationship on a small scale. When a woman buys a new line of makeup, in addition to being sure the color is right for her, she wants to know if the makeup suits her skin type, contains sun protection and holds up during the day. Likewise, a new attorney-client wants to make sure your product will perform as expected. The attorney wants to know:
• Will your work product meet expectations?
• Will your report be supported by appropriate standards and research?
• How conscientiously will you meet deadlines?

A woman at the makeup counter might start out with a smaller container or trial size of a new product. Similarly, an attorney might suggest beginning with a brief report and ask for a quick turnaround. Recognize this as an important step in building a long-term relationship.

5. Deliver. Actions sell and quality counts. Your attorney-clients often deal with people who talk a good game but who don’t deliver on promises. By turning in a quality product on time, or even ahead of deadline, you reinforce that the attorney has made a wise buying decision and can depend on you for bigger and bigger projects and more medical-related cases.

When you provide a safety net and build trust, hard-sell is never necessary.

• Every time you present yourself with professionalism, you sell.
• Every time you listen intently and affirm the attorney-client’s expectations, you sell.
• Every time you deliver a quality product, you sell.

Every step of the way, you build into your attorney-client relationship a sense of trust and dependability – a safety net.

Beginning with that initial interview and that first small project, you can create a mutually satisfying, long-term business relationship. And a few loyal, lifetime attorney-clients will make your legal nurse consulting business prosper. You won’t need dozens. Soon you will find attorney-clients relying on you, recognizing your CLNC^® and nursing expertise and your ability to make them look good. They will begin to trust that without your help and expertise they could miss significant issues and even lose cases.

Success Is Inside!

Okay, that’s a question that a lot of new Certified Legal Nurse Consultants might not know how to answer. In the world of digital media and MP3s, we no longer have to deal with skips in the middle of a song like we did when we listened to CDs or LPs. I’m so glad the days are gone that I have to worry about washing the lotion off my hands before handling my Prince CDs, or having to carefully slide an album like Coldplay’s “Viva la Vida” vinyl album into its sleeve and then into the album cover at just the right angle to keep it from catching and scratching one of the tracks.

Digital media and the iPod^® have not only changed how I listen to music, but also the way that I think of music. Since music has become ultra-portable, it’s changed air travel, working on the road and vacationing by giving me the ability to add a soundtrack to my life at any time that I want without disturbing other people. If this wasn’t the best invention in the world, I’m still waiting to see what it is going to be.

Most of us have our own soundtrack running in our heads and sometimes that soundtrack has a loop in it, causing us to hear the same information, right or wrong, over and over. Sometimes, that soundtrack has a skip in it and that skip causes us not to hear what the other person is saying over and over again. There’s a high potential for looping and skipping that can happen to legal nurse consultants too, and when it does, there’s a need to stop it.

As a CLNC^® consultant you’ve been trained to carefully listen to attorney-prospects when you’re in an interview, to relax and not to get so caught up in the soundtrack of your nervousness that the attorney becomes invisible to you.

If an attorney says “You’re hired,” you don’t respond “Thank you, but I have to finish explaining all 32 CLNC^® services I provide as a Certified Legal Nurse Consultant” and then loop back into your script. You’ve got the job – stop, skip the script and start discussing the first case.

Likewise, have you ever fully and completely answered a question for a patient, friend, family member or other party but they didn’t listen to the answer and loop back to ask you the same question again? Or they make the same statement they just made and, no matter what response you make, they skip processing your response to loop and repeat the statement? They become so caught up with the looping in their heads that their soundtrack skips your answer.

In some situations, repetition can be entirely appropriate. I love listening to my twin brother Vince’s “True Hollywood stories” from our childhood in Louisiana. Each time he embellishes a little bit more and it’s fun calling him on those embellishments. One of my staff members has heard my “war stories” almost as many times as I have and to her credit she always laughs as if she’s hearing them for the first time.

But, there’s a big difference between repetition for its own sake and repetition due to lack of focus. I was mentoring a CLNC^® consultant over the telephone on some issues regarding her legal nurse consulting business. She kept trying to go back and rehash the issues we’d just discussed. I realized that if she was that unfocused with me, she would certainly be that way with any attorney-client or -prospect. I called her on it and challenged her to focus for our next telephone call by outlining her questions and checking them off after being answered and avoid the rehash. To her credit she did pretty well.

Recently at a live event I spent some time answering a woman’s questions. I went through all her concerns and questions and I thought she was satisified with my suggestions. To my surprise, the next day she asked me the same questions again. I politely told her that no matter how many times she asked me, my answers wouldn’t change. I later found out that after talking to me, she also approached Tom with the same questions. He politely told her to follow my advice. The internal loop of her soundtrack and story were causing skips in her listening and in her processing of the information she was receiving.

In your career as a Certified Legal Nurse Consultant, you’ll run into plenty of situations where repetition is necessary in education or the case review process. But in other situations, before you start repeating yourself, ask yourself why and if it’s really necessary. It may not be. I repeat, ask yourself why you’re about to repeat and see if it’s really necessary. It may not be.

You will have many opportunities to loop and skip. I challenge you to be like an MP3 in your business and personal relationships for the next three days and let me know the results.

Success Is Inside!

I’ve stayed in a lot of hotels during my travels. Everything from Ramadas to Mandarin Orientals with more than a few Hiltons, Hyatts, Marriotts and the occasional Peninsula in between. As a result I’ve become quite jaded concerning hotel services. On a recent trip to Austin, Texas, I was stunned by the service at our hotel, the Four Seasons. The staff did much more than just meet requests, they seemed to anticipate every need. It started with the bellman who offered to find additional luggage stands. Then it was the waiter who, after I asked for the check and told him we needed to get to the airport, he offered to call a cab for us.

The front desk clerk who not only upgraded us to a lake view (without my asking) also suggested happy hour on the hotel’s terrace overlooking Lady Bird Lake and told us about a few of the appetizers we shouldn’t miss. The doorman surveyed the directions to our dinner spot (La Condesa – my favorite Mexican restaurant in the U.S.) and recommended a better, more direct route and even told us where to park. This service extravaganza ended with the valet who provided us with bottles of water for our drive to the airport.

From the time we arrived at the hotel to the time we left, it seemed the staff anticipated our every need and went out of their way to try and beat us to the punch. I couldn’t help but contrast this with so many other experiences where the staff simply wait until you ask them for help.

Are you doing the same for your attorney-clients? Are you anticipating their needs and offering different legal nurse consulting services than you’ve provided in the past or do you just sit passively by the phone or computer waiting for the call or email? The impression you want to leave with your attorney-clients is one of superior service and the best way to achieve that is by transcending your prior service.

As a Certified Legal Nurse Consultant, you know that you can provide more than 30 different CLNC^® services to your attorney-clients. Offer them! Don’t wait for the attorney to ask you. He hasn’t seen the list and doesn’t know the full range of your nursing knowledge and experience. Show him how you can stand out by anticipating his needs, not just meeting them.

Success Is Inside!

Hi Vickie, I just had to tell you the great news. I just finished my taxes and I am happy, no make that thrilled, no make that “over the moon with joy” to tell you that I earned more than $100,000.00. I went ahead and incorporated and named my CLNC^® business when the work started coming in faster than I could keep up. I just keep working hard trying to keep up with all of the work and make sure that I still put out top-quality work product. I was so happy when one of my attorney-clients forwarded my information to another law firm. I did a case for them and they were so happy with the “excellent CLNC^® work product” that I provided that they immediately forwarded another case to me.

I have been keeping so busy and I absolutely love being able to work for myself. I still have the law firm that I first started working for, and I had originally worked for the pharmaceutical attorneys, but from there I have also gotten cases from the medical-malpractice attorneys, nursing home negligence and more. I am keeping so busy that I am going to have to start hiring CLNC^® subcontractors. Luckily I met this incredible nurse and I convinced her to go through your CLNC^® Certification Program, which she just recently completed. Now that she is a CLNC^® consultant, I am ready to ask her to subcontract with me on my huge case load.

I now have cases going to trial. I am working with three attorney-clients that are in the first round of trials and two attorney-clients in the second group of trials. These cases all need detailed chronological summaries – something that I have been providing to these law firms for deposition preps.

Anyway, I just thought I would let you know how happy I am that I became a Certified Legal Nurse Consultant. I love the way that I can combine my love and knowledge of nursing with my love of law. Thank you, Vickie, a hundred times over for helping me become a successful Certified Legal Nurse Consultant. You rock!

I hope my positive experiences will help other Certified Legal Nurse Consultants go for that BIG success. I feel honored to share my CLNC^® successes.

There I was nearly nine years ago, suffering from what I now refer to as “professional bradycardia.” I signed up for Vickie Milazzo Institute’s CLNC^® Certification Seminar and had my breath taken away! That 6-day seminar in 2000 was about to change my life forever and ever. However, at the time I only knew it was The Best program I had ever attended as a nurse, bar none!

It would be one and a half years later that I would have to wait for another positive breathless moment. It came after my first attorney-client gave me my first three cases, one right after the other, and then stated to me after paying his third retainer, “Larry, I just want to let you know that that you are not charging enough for these reports.” That was the icing on the cake. It made me realize that I could do this type of work and do it well, but thinking at the same time…well duh…I was trained by The Best! Based on that attorney’s advice and knowing that I was trained by the best, I substantially increased my hourly fee, never looked back and now never blink, shudder or stutter when I quote my fee to attorneys.

I was so excited that I picked up the phone and called Vickie Milazzo Institute in Houston. I asked if I could thank Vickie in person at the next CLNC^® 6-Day Certification Seminar in Philadelphia (my CLNC^® training ground). The answer came back, “yes,” and I found myself driving to Philadelphia in September 2002. I gave my little thank-you story with a microphone in front of me and I found myself breathless again, both from the fright of public speaking and from the reaction I received from the 300 nurses in attendance. I remember pinching myself and smiling from ear to ear on my drive home that day from Philadelphia.

I once again became breathless in March 2003 as I received the National Alliance of Certified Legal Nurse Consultants CLNC^® Success Story Award at the annual NACLNC^® Conference. Imagine, this old-as-dirt nurse, with average nursing skills, up on that huge stage with Vickie Milazzo in Orlando, Florida receiving such an award! It DID take my breath away and It DID FEEL GOOD!

One final breathless moment I would like to share, came very recently as I expanded my CLNC^® business to include nine subcontractors, all of whom are Certified Legal Nurse Consultants! I refer to my initiative as Peas in a Pod with the POD being my company who will act as the Point Of Distribution for casework to the Peas who are the CLNC^® subcontractors. We have bi-weekly group phone conferences and also stay connected by Pea Pod Ponderings, a weekly email sent by Larry Pea to the other Peas. All the Peas, each with their specific area of nursing expertise, makes the POD strong and unique, however what takes my breath away is the fact all the Peas are very, very special to me and as a POD, we are able to offer my attorney-clients over 225 years of nursing experience, guiding them as we journey through the medical records! Another breathtaking moment indeed will also be when the Peas collectively meet at the next NACLNC^® Conference!

Thank you Vickie for making me one SOB (Short Of Breath) Certified Legal Nurse Consultant!

Lawrence H. Frace, RN, CLNC

Many of you know I like to start each day with a cup of healthy green tea. I especially like to enjoy that first healthy cup of green tea while comfortably ensconced in the recliner in my bedroom, drinking tea and looking out to the silhouettes of the giant timber bamboo that surrounds our home reaching heights of easily 60 ft.

During the week I’m up at 4:00am and I love that the bamboo is one of the first things to greet me (second to Tom of course) as I sip my tea and before I’m off to the gym. I love to watch the gentle ballet of the bamboo as it sways in the wind. Even the slightest breeze will set it moving gracefully, dancing in the dawn light. A strong wind makes it look and sound like giant wind chimes and I love hearing the clacking of the stalks through the stillness.

This morning, I watched the swaying stalks and I started thinking about how much Certified Legal Nurse Consultants can learn from bamboo. Bamboo is unnaturally strong – just the way your CLNC^® business should be. It’s also flexible and will bend and flex a long way before breaking – just like your attorney-clients expect you to perform.

If its base grows weak and it begins to lean, it will rest against other bamboo and continue to grow, rather than become uprooted. A stand of bamboo supports each other just as CLNC^® consultants do when networking and subcontracting through the National Alliance of Certified Legal Nurse Consultants. There’s also safety in numbers as a forest of bamboo exhibits as it blocks the wildest wind. Rather than break in the face of a strong force, it bends and twists, reactively dealing with changes in weather and wind direction. After Hurricane Ike, Houston was covered with downed trees and broken tree limbs but almost no bamboo stalks lay in our yard. When was the last time you networked, collaborated and masterminded with three to five Certified Legal Nurse Consultants?

Though strong, bamboo is also thin and lightweight. It reminds us to keep our CLNC^® businesses fast and agile – not becoming lumbering dinosaurs or institutionalized like hospitals. Bamboo thrives by co-existing with other plants just like your CLNC^® business can thrive as you co-exist with other CLNC^® consultants in the National Alliance of Certified Legal Nurse Consultants Association. In my backyard, some stalks of my bamboo have grown taller than my house and do so by growing through a 50-year-old oak tree that separates my home from my neighbor’s. I like to think that each are helping support the other, like we all do in our legal nurse consulting businesses but I also remember that like businesses, are in competition. The bamboo is in competition with the oak for the water and nutrient resources in the ground. After more than 15 years, both seem to be doing quite well together.

Bamboo can also be used for many things. Once hollowed out, I’ve seen it used in the place of pipe. Its shoots can be eaten. An enterprising bird has created a nest at a location where four stalks come together high in the air (it seems a bit precarious to me). In Asia, I’ve seen bamboo used as construction scaffolding. How many other plants or trees can you use for that? In Hawaii, I’ve hiked through a bamboo forest that was so thick I almost needed a flashlight in mid-day to find my way along the trail. In Japan, bamboo is sometimes treated with reverence and there are entire parks dedicated to its beauty.

This morning, there was an unnatural stillness outside my windows. There was not even the slightest trace of a breeze and the bamboo looked like a still-life or black and white photo in the early light. I can’t wait to see what it looks like this evening.

Success Is Inside!